Circular of the general office of the State Council on several policies and measures to promote the development of social medical services

Source: General Office of the State Council 2015-6-15 GBF [2015] No 45 people's governments of all provinces, autonomous regions and municipalities directly under the central government, ministries and commissions of the State Council, and organizations directly under the State Council: Several Policies and measures to promote the accelerated development of social medical services have been approved by the State Council, and are hereby printed to you for implementation General Office of the State Council on June 11, 2015 Since the implementation of the new round of medical and health system reform, the state has issued a number of measures to promote the development of social medical management, and the policy effect continues to show, but there is still a big gap with the goal of forming a diversified pattern of medical management, and there are still some institutional barriers and policy constraints that need to be broken In order to speed up the development of the scale and level of the social medical institutions, constantly meet the diversified and multi-level medical and health service needs of the people, and inject new impetus into the economic and social transformation and development, all regions and relevant departments should thoroughly implement the opinions of the State Council on promoting the development of health service industry (GF [2013] 40) (2010) and the Circular of the general office of the State Council on transmitting the opinions of the Ministry of health and other departments of the development and Reform Commission on Further Encouraging and guiding social capital to run medical institutions (GBF [2010] No 58) I further relax the access (I) clean up and standardize the establishment and approval of medical institutions Define and publicly announce the examination and approval procedures, subjects and time limit for holding medical institutions Relevant administrative departments at all levels should follow the principle of "non prohibited access" In principle, we should comprehensively clean up and cancel unreasonable pre examination and approval items, integrate the examination and approval links such as the establishment of social medical institutions and the practice license, further clarify and shorten the time limit for examination and approval, not set up new pre examination and approval items or improve the examination and approval conditions, not limit the business nature of social medical institutions, and encourage places with conditions to provide one-stop services for the relevant procedures of applying for medical institutions Business Improve the territorial management of the establishment and approval of social medical institutions, and further promote the social medical institutions The specific approval authority of bed size shall be determined by each province (District, city) in accordance with the regulations on the management of medical institutions We will encourage social forces to set up specialized hospitals for traditional Chinese medicine and TCM outpatient and TCM clinics that only provide traditional Chinese medicine services, and speed up the development of Chinese medicine institutions run by society (2) to disclose the planning of regional medical resources All localities shall regularly publicize the number and layout of medical institutions in the region, as well as the allocation of resources such as beds and large-scale equipment, and incorporate social medical institutions into relevant plans, reserve resource allocation space such as beds and large-scale equipment for social medical institutions according to a certain proportion, and cancel the specific number and location restrictions on social medical institutions on the premise of meeting the total planning volume and structure The introduction or adjustment of regional health plan and medical institution setting plan shall be publicized to the public in a timely manner, and the scale and layout of the medical resources that can be added or to be adjusted in the region shall be explained in detail For those involving new or adjusted medical resources, including new urban areas, the government must implement the basic responsibility of insurance, and support social forces to run and operate medical institutions If the plan is not publicly announced, social forces shall not be refused to set up medical institutions or allocate medical equipment on the basis of the plan (3) reduce the restrictions on examination and approval of operation The grade and bed size of social medical institutions shall not be taken as the necessary preconditions for determining the allocation of large-scale equipment, and the qualification and technical service ability of personnel of institutions shall be mainly assessed Optimize the configuration and use procedures of large equipment and simplify the process We will strictly control the extraordinary allocation of large-scale medical equipment in public hospitals, and the allocation of large-scale medical equipment in medical institutions run by social organizations, which meet the planning conditions and access qualifications, shall not be restricted for any reason (4) to control the scale of public hospitals and standardize the restructuring of public hospitals In accordance with the principle of total amount control, structural adjustment and appropriate scale, we should reasonably control the number and scale of public medical institutions, and expand the development space of social medical institutions Summarize the local practical experience, guide and standardize the reform of public hospitals, and avoid the loss of state-owned assets All localities should make clear the scope and quantity of government run hospitals, implement the responsibility of government investment, and strictly limit the scale of special needs services of public hospitals in combination with the regional health planning and the planning of medical institutions In the county, the social medical management should be combined with the reform of county-level public hospitals, and the main role of public hospitals and the complementary role of social medical management should be played to complement each other On this basis, in areas with rich public medical resources, we should guide and standardize the reform of some public hospitals, including those run by state-owned enterprises We will promote the pilot project of separating and transferring state-owned enterprises from hospitals or restructuring them, and establish a modern corporate governance structure Actively introduce social forces to participate in the restructuring of state-owned enterprises run medical institutions 2 Broaden investment and financing channels (5) strengthen financial support The social non-profit medical institutions that provide basic medical and health services shall be included in the scope of government subsidies, and the same subsidy policy as public medical institutions shall be implemented in the construction of key clinical specialties and personnel training Through the way of government purchase of services, support eligible social medical institutions to undertake local public health and basic medical services and related tasks assigned by the government, and gradually expand the scope of purchase The eligible social medical institutions shall be included in the first aid network, perform the mandatory tasks assigned by the government, and be compensated by the government according to the same treatment as the public medical institutions Encourage local governments to explore and establish incentive mechanisms for the organizers of social non-profit medical institutions (6) to enrich financing channels We will support social forces to run non-profit medical institutions, improve the corporate governance structure, and establish a modern hospital management system through franchising, public construction, private and public assistance and other modes Local governments are encouraged to provide construction funds and interest subsidy for social medical institutions through the establishment of health industry investment funds Encourage social medical institutions to raise start-up costs and development funds by means of equity financing and project financing We will support eligible for-profit social medical institutions to go public for financing or issue bonds, connect with multi-level capital markets, and use a variety of financing tools for financing (7) optimize financing policies Financial institutions are encouraged to innovate financial products and service methods according to the characteristics of medical institutions and expand business scale We will expand the scope of credit collateral, and explore ways to allow social medical institutions to use fixed assets such as paid land-use rights for non-medical purposes and clear property rights for mortgage loans Social medical institutions are encouraged to register and issue non-financial enterprise debt financing tools in the inter-bank bond market to raise funds, and various venture capital institutions and financing guarantee institutions are encouraged to carry out business for innovative business forms and small and micro enterprises in the medical field 3 Promote the flow and sharing of resources (8) promote the co construction and sharing of large-scale equipment We will explore the establishment of regional inspection centers open to all medical institutions in various ways, such as public construction, private construction or public assistance In areas with saturated large equipment configuration, it is not allowed for all medical institutions, including public medical institutions, to add large equipment Local governments are encouraged to integrate existing large equipment resources in various ways to improve use efficiency Encourage public medical institutions to cooperate with social medical institutions to realize mutual recognition of medical imaging, medical examination and other results, and resource sharing of disinfection supply center (room) and other resources of medical institutions on the premise of ensuring medical safety and meeting the core functions of medical treatment (9) to promote multi-point practice of doctors We will speed up the promotion and standardization of multi-point practice of doctors, encourage and standardize the flow of doctors among different types and levels of medical institutions, encourage doctors to practice in grass-roots units, remote mountainous areas, areas where medical resources are scarce, and other medical institutions where there is a need for multi-point practice Medical personnel have no reason for academic status, professional title promotion, professional skill appraisal, professional technology and vocational skill training Multi point practice is affected All localities should, according to the actual situation, study and formulate pilot schemes for personnel management, income distribution, social insurance and other work involved in the development of multi-point practice of doctors as soon as possible, and gradually push forward after gaining experience We will encourage the exploration of regional registration and multi-point practice record management pilots (10) strengthen business cooperation Encourage local governments to explore effective forms and specific ways for public medical institutions and social medical institutions to strengthen business cooperation Public medical institutions are encouraged to train medical personnel for social medical institutions, improve their technical level, and explore various forms of talent exchange and technical cooperation Social forces with experience in medical institution management are encouraged to participate in the management of public medical institutions through hospital management groups and other forms, on the premise of clarifying the relationship between responsibilities and rights IV optimize the development environment (XI) implement the tax policies of medical institutions We will actively implement various tax policies for social medical institutions Business tax shall be exempted for medical services provided by social run medical institutions; property tax and urban land use tax shall be exempted for properties and land used by social run non-profit medical institutions that meet the requirements; property tax and urban land use tax shall be exempted for properties and land used by social run for-profit medical institutions that meet the requirements within three years from the date of obtaining practice registration If a social medical institution is recognized as a non-profit organization in accordance with the provisions of the enterprise income tax law, it shall be exempted from the enterprise income tax on its qualified income such as medical services Enterprises and individuals who donate to social non-profit medical institutions through public welfare social organizations or people's governments at or above the county level and their departments shall be deducted before tax in accordance with the provisions of the tax law (12) to include social medical services in the designated scope of medical insurance The eligible social medical institutions shall be included in the designated scope of medical insurance, and the same policies as those of public medical institutions shall be implemented It is not allowed to regard the nature of ownership of medical institutions as a precondition for the designated medical insurance institutions, or refuse to include social medical institutions in the designated medical insurance institutions on the basis of factors such as the number of designated medical insurance institutions is full and other non-medical service capabilities Standardize all kinds of medical bills, use unified medical bills by non-profit medical institutions, and use qualified invoices by profit-making medical institutions, which can be used as payment vouchers of medical insurance funds, and refine the settlement methods of fees and bills used by medical institutions of different natures and medical insurance funds (XIII) improve the clinical level and academic status Social medical institutions are encouraged to introduce new technologies, carry out new projects, and provide special diagnosis and treatment services Support social medical institutions to actively introduce high-end talents, and organize and carry out various scientific and technological exchanges and cooperation Social run hospitals enjoy equal treatment with public medical institutions in terms of title evaluation, bidding for scientific research projects and achievement evaluation We will encourage qualified medical institutions run by social organizations to apply for and identify standardized training bases for residents, regular assessment institutions for doctors, and clinical teaching bases in medical colleges and universities Support the participation of social medical institutions